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Individual

MERLYN FANGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 553-8300
Mailing address
255 HOSPITAL DR SUITE 107, GLEN BURNIE, MD 21061-3632

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R226043
MD

Other

Enumeration date
04/14/2022
Last updated
06/25/2023
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